RUSSELL S. WOLFF, PHD


Address: C/o Independent Living Center of The Hudson Valley, 15-17 Third Street, Troy, NY 12180
Phone: 5187680667

RUSSELL S. WOLFF, PHD (NPI# 1588890784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588890784
Entity Type Organization
Organization Name RUSSELL S. WOLFF, PHD
Practice Address C/o Independent Living Center of The Hudson Valley
15-17 Third Street
Troy
NY 12180
Practice Telephone 5187680667
Practice Fax Number 5182797559
Mailing Telephone 5187680667
Mailing Fax Number 5182797559
Enumeration Date 2009-06-03
Last Update Date 2010-12-13
Authorized Official Name DR. RUSSELL S WOLFF (PSYCHOLOGIST)
Authorized Official Telephone 5187680667
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 018097 NY Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NY 03124210 05

Office Location

Street Address C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY
15-17 THIRD STREET
City TROY
State NY
Zip Code 12180

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

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1407462948 Shawn Muthersbaugh Lcsw Pllc Community/Behavioral Health 120 Defreest Dr Ste 175, Troy, NY 12180-7608 2020-09-21
1831665363 The Village Reintegration Program Community/Behavioral Health 320 Spring Ave Apt 2, Troy, NY 12180-5211 2018-10-23
1134618713 Lifecare & Recovery Community/Behavioral Health 2946 Roundtree Dr, Troy, MI 48083-2347 2018-05-09
1558879270 Life Restoration Counseling & Psychological Services Community/Behavioral Health 525 E Big Beaver Rd Ste 201, Troy, MI 48083-1363 2018-01-16
1235665621 Recovery Counseling Community/Behavioral Health 1423 Leafgreen Dr, Troy, MI 48083-4492 2017-05-04
1689006975 Arab American and Chaldean Council Community/Behavioral Health 363 W Big Beaver Rd Ste 315, Troy, MI 48084-5242 2013-08-08
1104198209 Cross Couseling & Behavioral Health Community/Behavioral Health 1385 Creech School Rd, Troy, MO 63379-5373 2012-02-03
1871899260 Community Helps Network LLC Community/Behavioral Health 122 Bruton St, Troy, NC 27371-2816 2011-02-01
1982831731 Monarch Community/Behavioral Health 321 Taft St, Troy, NC 27371-9752 2009-06-19
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Competitor

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City TROY
Zip Code 12180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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